CQC report explained · a residential care home
What the CQC found at Napier Lodge Limited
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, March 2020
Napier Lodge Limited is rated Good; inspectors found safe, kind and personalised care across all five areas.
This was an unannounced inspection on 05 February 2020 by one inspector. The inspector spoke with people living at the home, a relative, staff and managers. They also looked around the building and checked care records, staffing, recruitment, training and management records.
The home was rated Good overall. It was also rated Good for Safe, Effective, Caring, Responsive and Well-led. People said they felt safe and comfortable, and inspectors found suitable staffing, medication systems, training, care planning and quality checks.
The rating was unchanged from the previous inspection, published on 05 August 2017. Inspectors noted that staff had been retrained and auditing improved after a recent medication incident.
Safe medicines systems
Inspectors found that medicines were given on time and as prescribed, with staff completing records and checking that processes worked. The provider also acted after a recent medication incident.
“The registered manager developed safe systems to ensure people received their medication on time and as prescribed.” from the report
Kind and respectful care
People and relatives described staff as respectful and experienced. Inspectors found that care was personalised and that people's dignity, privacy and individuality were respected.
“Staff demonstrated a detailed awareness of each person's differences and engaged with them on equal terms.” from the report
Good involvement in care
People and relatives were involved in discussions about care and how support should be provided. Staff helped people make everyday decisions and maintain independence.
“They discussed care with me and involved [my relative] in this, such as what she likes and how she wants things done.” from the report
Activities and personal preferences
The home created care plans around people's histories and preferences and offered activities for stimulation. People told inspectors they had plenty to do.
“The registered manager provided activities for each person's stimulation.” from the report
Open leadership
Inspectors found that managers listened to people and relatives, sought feedback and used audits to oversee the service. Staff were involved in reviewing improvements.
“The registered manager audited service delivery as part of their quality assurance oversight.” from the report
Recent medication incident
minorA recent medication incident had occurred before the inspection. The provider responded with staff retraining and stronger audits, so families may want to ask what happened and how the changes are checked.
“In response to a recent incident involving medication, the provider retrained their staff and enhanced their auditing systems.” from the report
- 01What happened during the recent medication incident, and how do you check that the new procedures are being followed?
- 02How will you involve my relative and our family in creating and reviewing their care plan?
- 03What activities would be suitable for my relative's interests, needs and communication abilities?
- 04How do you monitor staffing levels at different times of day and when someone is unwell?
- 05What support would you provide if my relative later needed end of life care?
This was an unannounced inspection covering all five key questions; nobody was receiving end of life care, so that area was not tested in practice. This explanation was written from the published report of 24 March 2020 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, August 2017
Rated Good; inspectors found safe, kind and personalised care, with good management and no breaches reported.
Inspectors made an unannounced visit on 29 June 2017. The report also lists 28 June 2017 as an inspection visit date. They spoke with three people living at the home, two relatives, the manager and four staff. They reviewed care and staff records and checked the building.
They found the home clean and safe. Staff had safeguarding and care training, staffing levels were considered enough, and medicines were given safely. Risk assessments, recruitment checks and safety checks were in place.
People were supported with patience and respect. Care plans were detailed and personalised. People had choices about care, food and activities, and staff worked with health professionals when needed. The home also had systems for complaints, feedback and quality checks.
The overall rating was Good, as were all five areas: Safe, Effective, Caring, Responsive and Well-led. The home had also been rated Good at the previous inspection on 5 August 2014.
Clean and safe home
Inspectors found high standards of cleanliness and systems to manage risks, incidents and environmental safety.
“We found high standards of cleanliness at Napier Lodge.” from the report
Safe medicines support
Staff administered medicines carefully, explained them to people and respected their choices. The manager carried out medicine audits and provided relevant training.
“We observed staff administered medicines safely.” from the report
Kind and respectful care
Staff supported people with patience and compassion. They involved people and relatives in care and protected privacy and dignity.
“We observed staff supported people with patience, compassion and a friendly attitude.” from the report
Personalised support and activities
Care plans included people's needs, wishes and preferences. The home offered a broad programme of activities and trips.
“A programme of activities included trips out to the zoo, skittles, games, arts and crafts, entertainers and bingo.” from the report
Open management
People, relatives and staff said the management was supportive and approachable. Feedback meetings and quality checks were used to improve the home.
“The managers are keen to get our feedback and foster an open, trusting culture.” from the report
Inspectors raised no specific concerns in this report.
- 01How many staff are on duty now, and how do you make sure there are enough staff for people's needs?
- 02How are medicines checked and audited, and how do you support people who choose not to take prescribed medicines?
- 03How often are care plans reviewed with the person and their relatives?
- 04What activities and outings are currently available, and how are people's preferences included?
- 05How can residents and relatives raise concerns, and what action is taken in response?
This was an unannounced inspection covering all five questions: Safe, Effective, Caring, Responsive and Well-led; the previous inspection in 2014 was also rated Good. This explanation was written from the published report of 5 August 2017 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Napier Lodge Limited
3 rated inspections over 5 years: the service has held its Good rating throughout.
- March 2020Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2013
Report published without a new overall rating.
- April 2013
Registered with the Care Quality Commission on 12 April 2013.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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32 live-in carers within about an hour of Blackpool
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,250 a week. 31 can care for a couple. 12 years' experience on average.
“Thanks to Tracy, Dad was always immaculately dressed and clean, his meals were all home cooked and nutritionally well balanced and his home was always kept really clean and tidy.”
“He developed a close affinity with Terence, spending time talking with him before he retired to bed and looking after his needs during the night.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.